TEST BANK FOR
Leading and Managing in Nursing 8th Edition By Patricia S. Yoder-Wise
Chapter 1-25
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not only have distinct (problem questions)
and are asked to analyze the legal issues
Table of content
Chapter 1: Leading, Managing, and Following
Chapter 2: Quality and Safety
Chapter 3: Ethical and Legal Issues in Nursing
Chapter 4: Toward Justice
Chapter 5: Healthy Workplaces, Healthy Workforce
Chapter 6: Translating Research Into Practice
Chapter 7: Gaining Personal Insight: Being an Effective Follower and Leader
Chapter 8: Communication and Conflict
Chapter 9: Healthcare Organizations and Structures
Chapter 10: Person-Centered Care
Chapter 11: Staffing and Scheduling
Chapter 12: Workforce Engagement Through Collective Action and Governance
Chapter 13: Solving Problems and Influencing Positive Outcomes
Chapter14: Delegating: Authority, Accountability,
and Responsibility in Delegation Decisions
Chapter 15: Effecting Change, Large and Small
Chapter 16: Building Effective Teams
Chapter 17: The Impact of Technology
Chapter 18: Artificial Intelligence
Chapter 19: Managing Costs and Budgets
Chapter 20: Selecting, Developing, and Evaluating Staff
Chapter 21: Managing Personal and Personnel Problems
Chapter 22: Role Transition
Chapter 23: Managing Your Career
Chapter 24: Developing Leaders, Managers, and Followers
Chapter 25: Thriving for the Future
,Test Bank For Leading and Managing in Nursing 8th Edition Yoder Wise 1
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialStuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of
the patients are older adults. Sheis asked to assess and adapt
the unit to better meet the unique needs of the older adult
patient.Using complexity principles, what would be the best
approach to take for implementation of this change?
a. Leverage the hierarchical management position to get
unit staff involved inassessment and planning.
b. Engage involved staff at all levels in the decision-
making process.
c. Focus the assessment on the unit and omit the hospital
and communityenvironment.
d. Hire a geriatric specialist to oversee and control the
project.
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making occurs
throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
voice counts, and therefore, all levels of staff would be involved in decision making.
Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding oscenarios (problem questions) and are asked
to analyze the legal issues
TOP: AONE competency: Communication and Relationship-Building
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
called in sick five times in the past month. He tells the manager that he very much wants to
come to work when scheduled but must often care for his wife, who is undergoing treatment
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
approach to satisfying the needs of this nurse, other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurse
may be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his scheduled
days off around his wife‘s treatments.
ANS: D
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic needs
and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
patient care and threaten the needs of staff to feel competent. Arranging the schedule around
the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s need
for affiliation.
TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and the
unit manager continues to reiterate the reasons for the actions. What would be the best course
of action at this time?
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion for clarity issues.
,Stuvia.com - The Marketplace to Buy and Sell your Study MaterialStuvia.com - The Marketplace to Buy and Sell your Study MaterialTest Bank For Leading
c. Ask each party to examine their own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the
conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in
the conflict by examining the real issues of all parties.
TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a
resolution. What is the appropriate next step?
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
b. Elevate the next negation session to the next manager, one level above.
c. Insist that participants continue to talk until a resolution has been reached.
d. Back the unit manager‘s actions and end the dispute.
ANS: B
Part of leadership is understanding conflict resolution and ability to negotiate and manage for
resolution of issues and concerns. This situation has failed a second negotiation session,
elevation to a manager with additional training to facilitate conflict resolution is important at
this point. Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their
understanding odemonstrate knowledge of legal statutes, case law, and their ability to apply legal reasoning. Common types of law exams include:Essay/Problem-Based Questions: In law
exams, students are often given hypothetical scenarios (problem questions) and are asked to analyze the legal issues
TOP: AONE competency: Communication and Relationship-Building
5. The manager of a surgical area has a vision for the future that requires the addition of RN
assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff
have always practiced in a primary nursing-delivery system and are very resistant to this idea.
What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to this change
b. Leaving the RNs alone for a time so they can think about the change before it is
implemented
c. Dropping the idea and trying for the change in a year or so when some of the
present RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions they are
ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling
relationships, deepening self-awareness in self and others, motivating others, and managing
emotions. Motivating others recognizes that values are powerful forces that influence
acceptance of change. Leaving the RNs alone for a period of time before implementation does
not provide opportunity to explore different perspectives and values. Avoiding discussion
until the team changes may not promote adoption of the change until there is opportunity to
explore perspectives and values related to the change. Hiring of the assistants demonstrates
lack of empathy for the perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment
, Stuvia.com - The Marketplace to Buy and Sell your Study MaterialStuvia.com - The Marketplace to Buy and Sell your Study MaterialTest Bank For Leading
6. As the RN charge nurse on the night shift in a small long-term care facility, you‘ve found that
there is little turnover among your LPN and nursing assistant (NA) staff members, but they
are not very motivated to go beyond their job descriptions in their work. Which of the
following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for
the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their
positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care, and
individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them
sign contracts that guarantee work.
Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their
understanding oProblem-Based Questions: In law exams, students are often given hypothetical scenarios (problem questions) and are asked to analyze the legal
issues
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with
Herzberg‘s two-factor theory of motivation; meeting these needs avoids job dissatisfaction.
Motivator factors such as recognition and satisfaction with work promote a satisfying and
enriched work environment. Transformational leaders use motivator factors liberally to inspire
work performance and increase job satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7. The nurse manager wants to increase motivation by providing motivating factors for the nurse
on the unit. What action would be appropriate to motivate the staff?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs
throughout systems, as opposed to being held in a hierarchy. In complexity theory, every
voice counts, and therefore all levels of staff would be involved in decision making. This
principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8. The nurse manager has been asked to implement an evidence-based approach to teach ostomy
patients self-management skills postoperatively. The program is to be implemented across the
entire facility. What illustrates effective leadership in this situation?
a. The training modules are left in the staff room for times when staff are available.
b. The current approach is continued because it is also evidence-based and is more
familiar to staff.
c. You decide to implement the approach at a later date because of feedback from the
RNs that the new approach takes too much time.
d. An RN who is already familiar with the new approach of volunteers to take the
lead in mentoring and teaching others how to implement it.
ANS: D
Leading and Managing in Nursing 8th Edition By Patricia S. Yoder-Wise
Chapter 1-25
IntroductionExams serve as a fundamental tool in evaluating a student's understanding of a subject, particularly in fields as diverse as business, law, and mathematics. These disciplines not only have distinct (problem questions)
and are asked to analyze the legal issues
Table of content
Chapter 1: Leading, Managing, and Following
Chapter 2: Quality and Safety
Chapter 3: Ethical and Legal Issues in Nursing
Chapter 4: Toward Justice
Chapter 5: Healthy Workplaces, Healthy Workforce
Chapter 6: Translating Research Into Practice
Chapter 7: Gaining Personal Insight: Being an Effective Follower and Leader
Chapter 8: Communication and Conflict
Chapter 9: Healthcare Organizations and Structures
Chapter 10: Person-Centered Care
Chapter 11: Staffing and Scheduling
Chapter 12: Workforce Engagement Through Collective Action and Governance
Chapter 13: Solving Problems and Influencing Positive Outcomes
Chapter14: Delegating: Authority, Accountability,
and Responsibility in Delegation Decisions
Chapter 15: Effecting Change, Large and Small
Chapter 16: Building Effective Teams
Chapter 17: The Impact of Technology
Chapter 18: Artificial Intelligence
Chapter 19: Managing Costs and Budgets
Chapter 20: Selecting, Developing, and Evaluating Staff
Chapter 21: Managing Personal and Personnel Problems
Chapter 22: Role Transition
Chapter 23: Managing Your Career
Chapter 24: Developing Leaders, Managers, and Followers
Chapter 25: Thriving for the Future
,Test Bank For Leading and Managing in Nursing 8th Edition Yoder Wise 1
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialStuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of
the patients are older adults. Sheis asked to assess and adapt
the unit to better meet the unique needs of the older adult
patient.Using complexity principles, what would be the best
approach to take for implementation of this change?
a. Leverage the hierarchical management position to get
unit staff involved inassessment and planning.
b. Engage involved staff at all levels in the decision-
making process.
c. Focus the assessment on the unit and omit the hospital
and communityenvironment.
d. Hire a geriatric specialist to oversee and control the
project.
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making occurs
throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
voice counts, and therefore, all levels of staff would be involved in decision making.
Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their understanding oscenarios (problem questions) and are asked
to analyze the legal issues
TOP: AONE competency: Communication and Relationship-Building
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
called in sick five times in the past month. He tells the manager that he very much wants to
come to work when scheduled but must often care for his wife, who is undergoing treatment
for breast cancer. According to Maslow‘s need hierarchy theory, what would be the best
approach to satisfying the needs of this nurse, other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this nurse
may be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his scheduled
days off around his wife‘s treatments.
ANS: D
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic needs
and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
patient care and threaten the needs of staff to feel competent. Arranging the schedule around
the wife‘s needs meets the needs of the staff and of patients while satisfying the nurse‘s need
for affiliation.
TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
mediation session, the staff nurse repeatedly calls the unit manager‘s actions unfair, and the
unit manager continues to reiterate the reasons for the actions. What would be the best course
of action at this time?
a. Send the two disputants away to reach their own resolution.
b. Involve another staff nurse in the discussion for clarity issues.
,Stuvia.com - The Marketplace to Buy and Sell your Study MaterialStuvia.com - The Marketplace to Buy and Sell your Study MaterialTest Bank For Leading
c. Ask each party to examine their own motives and issues in the conflict.
d. Continue to listen as the parties repeat their thoughts and feelings about the
conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in
the conflict by examining the real issues of all parties.
TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a
resolution. What is the appropriate next step?
a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
b. Elevate the next negation session to the next manager, one level above.
c. Insist that participants continue to talk until a resolution has been reached.
d. Back the unit manager‘s actions and end the dispute.
ANS: B
Part of leadership is understanding conflict resolution and ability to negotiate and manage for
resolution of issues and concerns. This situation has failed a second negotiation session,
elevation to a manager with additional training to facilitate conflict resolution is important at
this point. Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their
understanding odemonstrate knowledge of legal statutes, case law, and their ability to apply legal reasoning. Common types of law exams include:Essay/Problem-Based Questions: In law
exams, students are often given hypothetical scenarios (problem questions) and are asked to analyze the legal issues
TOP: AONE competency: Communication and Relationship-Building
5. The manager of a surgical area has a vision for the future that requires the addition of RN
assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff
have always practiced in a primary nursing-delivery system and are very resistant to this idea.
What would be the best initial strategy for implementation of this change?
a. Exploring the values and feelings of the RN group in relationship to this change
b. Leaving the RNs alone for a time so they can think about the change before it is
implemented
c. Dropping the idea and trying for the change in a year or so when some of the
present RNs have retired
d. Hiring the assistants and allowing the RNs to see what good additions they are
ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling
relationships, deepening self-awareness in self and others, motivating others, and managing
emotions. Motivating others recognizes that values are powerful forces that influence
acceptance of change. Leaving the RNs alone for a period of time before implementation does
not provide opportunity to explore different perspectives and values. Avoiding discussion
until the team changes may not promote adoption of the change until there is opportunity to
explore perspectives and values related to the change. Hiring of the assistants demonstrates
lack of empathy for the perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment
, Stuvia.com - The Marketplace to Buy and Sell your Study MaterialStuvia.com - The Marketplace to Buy and Sell your Study MaterialTest Bank For Leading
6. As the RN charge nurse on the night shift in a small long-term care facility, you‘ve found that
there is little turnover among your LPN and nursing assistant (NA) staff members, but they
are not very motivated to go beyond their job descriptions in their work. Which of the
following strategies might motivate the staff and lead to greater job satisfaction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for
the night LPNs and NAs.
b. Allow the LPNs and NAs greater decision-making power within the scope of their
positions in the institution.
c. Hire additional staff so that there are more staff available for enhanced care, and
individual workloads are lessened.
d. Ask the director of nursing to increase job security for night staff by having them
sign contracts that guarantee work.
Skills: Business exams may require students to present ideas clearly and concisely. Students must convey complex concepts in a way that demonstrates their
understanding oProblem-Based Questions: In law exams, students are often given hypothetical scenarios (problem questions) and are asked to analyze the legal
issues
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with
Herzberg‘s two-factor theory of motivation; meeting these needs avoids job dissatisfaction.
Motivator factors such as recognition and satisfaction with work promote a satisfying and
enriched work environment. Transformational leaders use motivator factors liberally to inspire
work performance and increase job satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7. The nurse manager wants to increase motivation by providing motivating factors for the nurse
on the unit. What action would be appropriate to motivate the staff?
a. Collaborate with the human resource/personnel department to develop on-site
daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs
throughout systems, as opposed to being held in a hierarchy. In complexity theory, every
voice counts, and therefore all levels of staff would be involved in decision making. This
principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8. The nurse manager has been asked to implement an evidence-based approach to teach ostomy
patients self-management skills postoperatively. The program is to be implemented across the
entire facility. What illustrates effective leadership in this situation?
a. The training modules are left in the staff room for times when staff are available.
b. The current approach is continued because it is also evidence-based and is more
familiar to staff.
c. You decide to implement the approach at a later date because of feedback from the
RNs that the new approach takes too much time.
d. An RN who is already familiar with the new approach of volunteers to take the
lead in mentoring and teaching others how to implement it.
ANS: D
